CDI Specialist - Inpatient Documentation & Education

Optum; Temple City (CA); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

Optum in Temple City, CA seeks an experienced CDI specialist to review inpatient records and ensure documentation reflects severity and care acuity. You will collaborate with physicians, coordinate with HIM coding, and lead education to improve clinical documentation.

This role offers a comprehensive benefits package and growth opportunities within a culture that values inclusion and development. Strong CDI experience is essential.

Qualifications

• Associate degree required; BSN preferred for RN candidates.
• 5+ years acute care hospital RN or CDI experience.
• Advanced proficiency in medicine, pathophysiology, pharmacology.
• Strong ability to work closely with Physicians and use PC tools.

Responsibilities

• Review inpatient records within 24-48 hours to ensure accurate coding.
• Follow up with providers daily for documentation clarifications.
• Clarify diagnoses based on severity of illness and risk of mortality.
• Rounding with physicians and providing Working DRG lists.
• Educate physicians on documentation improvements and strategies.
• Provide feedback on opportunities for improvement and success.
• Use Optum CDI 3D Technology for documentation efforts.
• Coordinate with HIM Coding Professionals and Physician Advisor as needed.
• Engage Care Coordination and Quality Management to drive improvements.

Skills

CDI experience

Physician communication

Clinical medicine knowledge

PC skills (MS Office & EMR)

Education

Associate's degree

BSN preferred

Tools

EMR systems

MS Word

MS Excel

PowerPoint

Job description

Optum in Temple City, CA seeks an experienced CDI specialist to review inpatient records and ensure documentation reflects severity and care acuity. You will collaborate with physicians, coordinate with HIM coding, and lead education to improve clinical documentation.

This role offers a comprehensive benefits package and growth opportunities within a culture that values inclusion and development. Strong CDI experience is essential.